July 6, 1907


Author Affiliations

President Pueblo County Medical Society. PUEBLO, COLO.

JAMA. 1907;XLIX(1):42-43. doi:10.1001/jama.1907.25320010042003g

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History.  —M. S., aged 38, white, had had for four months before I took charge of the case, (Nov. 5, 1906), swelling of and pain in the scrotum, penis and adjacent parts. He had also been troubled with leaking of the urine from two false openings through the penis situated one inch and one and three quarters inches, respectively, from the base. He gave a history of syphilitic infection of eleven months standing.

Examination.  —His general condition was fair, facial expression anxious with normal temperature and exhilarated pulse. There was decided swelling of scrotum and penis and pus exuding from the meatus and the two false openings. The parts were so tender as to make a thorough examination impossible. After three days use of lead water and laudanum and codein, examination again was made, which revealed the sharp edge of a hard substance at extreme inferior border of scrotum, just

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